Register Your Elisa Sculpture Online

To officially record your title deed in the historical register of Elisa Limited Editions and receive the corresponding certificate, please complete the following information, including the reference and number stated on the authenticity guarantee. Elisa guarantees not to share this information with any third parties.

We also require proof of authenticity. You may submit either:

A copy of the Guarantee card you received with your sculpture (with the sculpture's registration number) OR
A photograph of your sculpture

These may be submitted electronically after you send this for or faxed to 727-546-7832.

All bolded fields are required.

Name:
Address:
City:
State:
Zip/Postal code:
Country:
Telephone:
Fax:
Email:
Your Usual Language:
Sculpture Name:
Reference Number :
Limited Edition :
Registration Number:
Date acquired: day/month/year (xx/xx/xxxx)
Was your sculpture received as a gift?	Yes No
Did you select your sculpture yourself?	Yes No
Where was your sculpture purchased?
Are you a member of the Elisa Collector's Club?	Yes. My member number is No
Birthday: day/month (xx/xx)
What do you like most about Elisa?
What do you like least about Elisa?
Suggestions:
I will be sending the authenticity proof by:	email after sending this form fax